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Student Information
Full Name  
  
   
First (Given)*:
   
   
Last (Family)*:
   
   
Mailing Address  
  
   
Street*:
   
   
City*:
   
   
State/Province*:
   
   
Zip Code*:
   
   
Country*:
   
   
County (If NJ resident):
   
   
Phone number:
   
   
E-mail*:
   
   
Gender:
   

   Educational Information
High School  
  
   
Name:  
   
   
Date of Graduation:  
    /
   
Cumulative Grade Point Average (GPA):  
   

 
Academic and Standardized Test Scores  
  
   
Which assessment test(s) have you taken?  
   
   
Best SAT I Critical Reading Score:  
   
   
Best SAT I Math Score:  
   
   
Best SAT I Writing Score:  
   
   
Best ACT Composite Score:  
   

Academic Plans
When do you want to begin studying at Stevens?*:
   
   
Will you be a first-year freshman or transfer student?*:
   

 
Indicate Major below:  
  
   
Please choose one of the following majors :  
   

 
Extra-Curricular Activities/Athletics:  
   
   
       
 
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